Golden State Behavioral

NPI 1487849006 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1487849006
Enumeration Date 09/06/2007
Last Updated 06/04/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NEIL NEIL
Position ADMINISTRATOR
Phone (818) 240-0340
Fax (818) 545-7672
Practice Location
1560 E CHEVY CHASE DR
SUITE 130
GLENDALE CA, 91206-4140, US
Phone (818) 240-0340
Fax (818) 545-7672
Business Location
1560 E CHEVY CHASE DR
SUITE 130
GLENDALE CA, 91206-4197, US
Phone (818) 240-0340
Fax (818) 545-7672
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G15084
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According to our database, Golden State Behavioral NPI is 1487849006, taxonomy code is 2084P0800X and license number is G15084, license state is located at California. Golden State Behavioral physically located at 1560 E Chevy Chase Dr, Glendale CA, 91206-4140. NPI Number 1033115704 has the healthcare provider type.

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1487849006 NPI number is provided on an as is basis without warranty of any kind. 1487849006 is maintained by the National Plan & Provider Enumeration System. The contents of Golden State Behavioral are for informational purposes only.